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R/O Seizures



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No. 10
from morte
Old Oct 23, 2009, 08:03 AM

Default Re: R/O Seizures
Originally Posted by canoehead View Post
a pseudo seizure responds to pain (I do a sternal rub)

they stop when you are out of the room, and increase with family present

they track your motions with their eyes while seizing

sometimes they stop if you tell them to.
pseudo seizure is not the same as fake seizure......it is psychogenic, but not faked
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No. 11
from ello7
Old Oct 23, 2009, 02:19 PM

Default Re: R/O Seizures
Painful stimuli is a good indication...

Also if the patient repeats something you've said during the midst of the "seizure"
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No. 12
Old Oct 23, 2009, 06:41 PM

Default Re: R/O Seizures
You make a good point. Did this neurosurgeonn have ay tricks that he used to differentiate betwee the reals and the fakes (besidesthe EEG)? It isn't even an option on the graveyard shift at many hospitals I've worked in (other than in the ER and on Neuro floors, and you pretty much have to donate a kidney to get them to give theirs up!).
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No. 13
from celclt
Old Oct 23, 2009, 08:52 PM

Default Re: R/O Seizures
pupil changes? ecg waveforms if on the monitors- electrodes pick up the tremors?
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No. 14
Old Oct 23, 2009, 09:21 PM

Default Re: R/O Seizures
ECG was just junkie artifact from his flopping around. Tried to check pupils, but his eyes were squeezed shut...
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No. 15
from criticalHP
Old Oct 23, 2009, 11:34 PM

Default Re: R/O Seizures
Originally Posted by desertnurse222 View Post
You make a good point. Did this neurosurgeonn have ay tricks that he used to differentiate betwee the reals and the fakes (besidesthe EEG)? It isn't even an option on the graveyard shift at many hospitals I've worked in (other than in the ER and on Neuro floors, and you pretty much have to donate a kidney to get them to give theirs up!).

Sorry, no. It was essentially an interactive lecture to dispell the belief of what a "normal" seisure looks like. He was promoting Keppra heavily at the time.

Personally I think--give em ativan. If they're a psych person trying to pull one over on you...works too
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No. 16
Old Oct 24, 2009, 12:21 AM

Default Re: R/O Seizures
Hey, I'm with you. Better living through chemistry is almost always my answer in the ICU!!!!
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